I'm just kidneying
If you have both CKD and DM, what meds do you have to take for your heart?
arbs and olols
Symptoms of DKA
BG>250
ketones and glucose in urine
polyphagia, polydipsia, polyuria
weight loss, vomiting, dehydration, abdominal pain, fruity breath, kussmaul respirations, increased ICP, hypokalemia
Hypoglycemia s/sx
irritable, shaky, difficulty concetrating, hungry, HA, dizzy, pallor, tachycardia, shallow respirations, palpitations, tremors, siezures, weakness, and sweating
Hyperkalemia treatment
IV insulin and glucose
IV 10% calcium gluconate
sodium polystyrene sulfonate
furosemide
Tx for pediatric mild dehydration
Oral rehydration therapies
What do you take for hyperphosphatemia tx with CKD
calcium carbonate
Treatment of DKA
IV regular insulin
IV potassium
0.9 NS or 0.45 NS
heart monitor, monitor I&Os, hydration status, monitor BG, add glucose to IV infusion when BG is around 300
Sodium
Your patient presents with complaints of dizziness, nausea, abdominal cramping, headache, and leathergy. While getting the h&p, the patient starts to get clammy and loses consciousness. As you try to wake them up, they suddenly start seizing.
Which electrolyte balance do they have?
Hyponatremia!!!
The patient presents with muscle weakness, lethargy, urinary retention, N/V, HR 54, BP 98/70, decreased DTR, and flushed warm skin.
What electrolyte imbalance do they have?
Hypermagnesemia
Nursing interventions for CKD
2 g sodium restriction
identify risk factors
urinalysis and GFR routinely
watch for weight gain +4, increased BP, SOB, edema, increased fatigue, and weakness or confusion
Sickle cell crisis treatment and nursing interventions?
treat pain!!!!
avoid ice ALWAYS and avoid extreme temperature changes
HYDRATE OR DIEDRATE
FEVER IS EMERGENCY so treat it obvi and broad spectrum antibiotic immediately after blood culture
handwashing, RBC transfusions, and treat underlying cause
What should you ask the pt to do during a chest tube removal?
Valsalva maneuver
The patient presents with paresthesia, a HR of 35, muscle weakness, tetany, and fatigue. Suddenly, they stop breathing and go into cardiac arrest.
What electrolyte imbalance do they have?
Hyperkalemia
This neurological disorder has a gradual onset that starts one sided with the classical symptoms of tremor, rigidity, akinesia, and postural instability?
Parkinson's
nephrotoxic meds
digoxin, metformin, glyburide, vancomycin, gentamicin, and opioids
The patient presents with a positive chvostek and trousseaus sign, a bp of 90/67, muscle twitches and cramps, hyperactive reflexes, tingling around the mouth, tetany, and dysrhythmias. They suddenly start to seize.
What electrolyte imbalance do they have?
Hypocalcemia
What are the important teachings for ferrous sulfate?
Take with orange juice or vitamin c to increase absorption, avoid taking it with tea, coffee, eggs, or dairy products, do not take at the same time as antacids. May stain the teeth black if liquid form.
Constant suction
Keep a glass of sterile water, an occlusive dressing, hemostats, and a chest tube kit.
The patient presents with confusion, cramps, tremors, hyperactive reflexes, a positive trousseau and chvostek, BP 134/92, HR 173, and dysrhythmias.
What electrolyte imbalance do they have?
Hypomagnesemia
For CKD Mineral and bone disease
what med are we using?
What CANNOT be taken with this med?
Phosphate binders (calcium carbonate)
CANNOT be given w/ iron
What can't be taken with carbidopa levodopa?
protein
The patient presents with dry mouth, bone pain, lethargy, kidney stones, HR of 45, hypotonicity, N/V, constipation, dysrhythmias, and weakness.
Which electrolyte imbalance do they have?
Hypercalcemia
Sickle cell management
Hydrate, avoid extreme temp changes, NO ICE EVER, healthy diet, good sleep routine, frequent check ups, manage pain, immunizations keep up on them, meds...
folic acid, hydroxyurea, Pen VK, and vitamin D
Nursing interventions for end stage Parkinson's mobility and freezing of gait?
get rid of rugs, utilize mobility aids, encourage ROM